| Philadelphia Empowerment Clinic Pllc | |
|
533 E Girard Ave # 604 Philadelphia PA 19125-3311 | |
| (445) 455-6045 | |
| (267) 762-4374 |
| Full Name | Philadelphia Empowerment Clinic Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 533 E Girard Ave # 604, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Charles. Tyson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4454556045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philadelphia Empowerment Clinic Pllc 533 E Girard Ave # 604 Philadelphia PA 19125-3311 Ph: (445) 455-6045 | Philadelphia Empowerment Clinic Pllc 533 E Girard Ave # 604 Philadelphia PA 19125-3311 Ph: (445) 455-6045 |
| NPI Number | 1396323440 |
|---|---|
| Provider Enumeration Date | 03/31/2021 |
| Last Update Date | 07/08/2023 |
| Certification Date | 07/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396323440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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